Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
TRANSPLANT DEPARTMENT OF MOUNT SINAI
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MACNEILL (VICE PRESIDENT, CBO DIRECTOR)
(646) 605-8112
Entity
Organization
Contact information
Practice address
5 EAST 98TH ST, 12TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-8035
(212) 241-2064
Mailing address
PO BOX 28082, NEW YORK, NY 10087-8082
(212) 987-3100
(646) 605-3029
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/15/2012
Last updated
06/24/2015
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